Develops, implements and evaluates the strategic plan for the organization-wide Case Management system and process for all services across Signature Healthcare. Provides operational supervision of the Case Managers, Social workers and supports ongoing problem solving. Establishes tools, processes and systems to optimize all roles. This position has significant impact on patient care revenue and expense and provides mission critical access to Hospital & Signature Medical Group. Collaborates with all disciplines with a specific focus on tangible outcomes related to improved quality, patient/ provider satisfaction and revenue management. Provide high-level support & direction to case management staff and Social workers and supports ongoing problem solving.

Education: RN with Master’s Degree

Experience (Type & Length): Minimum 5+ years of progressive management experience with demonstrated goal oriented outcomes; Minimum 7 years’ acute clinical experience; Must have demonstrated leadership and change management experience

Certification/Licensure: Current License as Registered Nurse in the Commonwealth of Massachusetts

Software/Hardware: Proficiency in using computers and ability to quickly gain competency in various software applications, including hospital specific applications, Microsoft Office, cell phone, pager

Other: Proven experience in coordinating discharge planning and utilization review experience required. Prior management experience required. A “hands on”, visual, team builder and effective communicator style is key to the success of this position. Knowledge of payer requirements and regulations that support and effect development of departmental policies, procedures and standards. Demonstrated ability to establish goals, vision and overall direction of the department; create and implement departmental standards, systems, staffing plan and processes; analyze issues and create effective plan to address them; critically and comprehensively evaluate the departments outcomes; identify, collect and analyze data related to the internal and external environment as well as departmental functioning; and develop and educate staff. Demonstrated ability to communicate verbally and in writing to internal and external customers. Knowledge of external requirements that impact the department, such as The Joint Commission (TJC), CMS, and The Department of Public Health. Ability to understand and interpret medical records, hospital bills and have a clear understanding of ancillary department functions.